Organization Active NPI

5 Star Healthcare Consultants, Inc.

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1811519994
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
5 STAR HEALTHCARE CONSULTANTS, INC.
Doing business as
5 Star Healthcare Consultants, Inc.
Practice address
5401 S Kirkman Rd
Orlando, FL 32819-7940
Phone
(800) 721-8839
NPI assigned
May 12, 2020
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tequila Golden, APRNNPI 1518430032
Title
Family Nurse Practictioner
Phone
(407) 766-8865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

5401 S Kirkman Rd
Orlando, FL 32819-7940

Mailing address

3632 Arch St
Orlando, FL 32808-7408
Phone (407) 766-8865

Other names 1

  • 5 Star Healthcare Consultants, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Orlando

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522000007 FL Part B Supplier - Clinic/Group Practice 9234550559 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5401 S Kirkman Rd
Orlando, FL 32819
Phone (407) 442-0263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1811519994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 ARCH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087408",
            "telephone_number": "407-766-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940",
            "telephone_number": "800-721-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HEALTHCARE CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "TEQUILA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTICTIONER",
        "authorized_official_telephone_number": "407-766-8865",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Orlando",
            "affiliation": "N",
            "address_1": "5401 S Kirkman Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328197940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "5 Star Healthcare Consultants, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "5 Star Healthcare Consultants, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.